CN117643588A - Application of nitrofurantoin in preparation of anti-rheumatoid arthritis drugs - Google Patents

Application of nitrofurantoin in preparation of anti-rheumatoid arthritis drugs Download PDF

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Publication number
CN117643588A
CN117643588A CN202311506331.8A CN202311506331A CN117643588A CN 117643588 A CN117643588 A CN 117643588A CN 202311506331 A CN202311506331 A CN 202311506331A CN 117643588 A CN117643588 A CN 117643588A
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China
Prior art keywords
rheumatoid arthritis
nitrofurantoin
application
drugs
treatment
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CN202311506331.8A
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Chinese (zh)
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张仁帅
龚秋雨
蒋宏飞
于际伟
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Shandong Tianhong Biopharmaceutical Co ltd
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Shandong Tianhong Biopharmaceutical Co ltd
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Abstract

The invention provides application of nitrofurantoin in preparation of anti-rheumatoid arthritis drugs, and belongs to the field of pharmaceutical chemistry. Rheumatoid arthritis is typically characterized by proliferation of synovial lining cells, while nitrofurantoin significantly reduces proliferation of synovial lining cells. In addition, nitrofurantoin can also remarkably inhibit osteoporosis and bone loss caused by rheumatoid arthritis, remarkably reduce the expression of inflammatory factors (IL-1β, I L-6, IL-17, IL-23), and promote the expression of anti-inflammatory cytokines (I L-10). The invention applies the nitrofurantoin which is originally used as an antibacterial drug to the treatment of the rheumatoid arthritis, enriches the drug types of the rheumatoid arthritis and is hopeful to provide a new path for the treatment of the rheumatoid arthritis.

Description

Application of nitrofurantoin in preparation of anti-rheumatoid arthritis drugs
Technical Field
The invention belongs to the field of pharmaceutical chemistry, and particularly relates to application of nitrofurantoin in preparation of anti-rheumatoid arthritis drugs.
Background
Inflammation is a defensive response process of living tissue with vascular system to injury factors, which is closely related to various diseases. The research of inflammation and related phenomena (including the establishment of an inflammation model, the discovery of inflammatory response factors, the relation between the response factors and the action mechanism of medicines, the relation between the inflammation and other diseases and the like) has important guiding significance on medicine development, early diagnosis of cancers, the research of various physiological processes, cancer treatment and the like.
Rheumatoid arthritis is a relatively common inflammation, which is one of autoimmune diseases. The incidence of these diseases in the population is about 1%, at least 3000 tens of thousands of patients worldwide, affecting mainly women, increasing the risk of heart disease, lymphoma, diabetes, stroke and lung disease, possibly reducing the life expectancy of the patients by 10-15 years. At present, the pathogenesis of rheumatoid arthritis is not clear, but a plurality of breakthrough findings on novel cells, molecules, pathways and the like in the related fields are reported in the journal of international top academy successively, and the market scale of rheumatoid arthritis also shows a remarkable increase. Currently, drugs for rheumatoid arthritis are mainly classified into nonsteroidal anti-inflammatory drugs and antirheumatic drugs for improving the disease conditions, including targeted drugs, biological agents, and the like. Related agents such as targeted inhibition of tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (il-6), and non-receptor tyrosine kinase (JAK) have shown potent clinical efficacy. However, these drugs generally have low response effect, are liable to cause toxic and side effects such as viral infection and malignant tumor, and are limited in use in clinical long-term administration. Therefore, the development of new rheumatoid arthritis therapeutic drugs has very important scientific and practical significance.
Nitrofurantoin has the English name of Nitrofurantoin and the chemical formula of C 8 H 6 N 4 O 5 The CAS number is 67-20-9, is an antibacterial drug with broad-spectrum antibacterial activity, can be clinically used for urinary system infection and the like caused by sensitive bacteria, and has clinically confirmed clinical effectiveness and safety. At present, nitrofurantoin has not been used for resisting rheumatoid arthritisReport of treatment of inflammation.
Disclosure of Invention
The invention provides application of nitrofurantoin in preparing medicines for treating rheumatoid arthritis. The nitrofurantoin originally used as an antibacterial drug is applied to the treatment of the rheumatoid arthritis, enriches the variety of the medicines for treating the rheumatoid arthritis, and is hopeful to provide a new path for the treatment of the rheumatoid arthritis.
The invention is realized by the following technical scheme:
the invention provides application of nitrofurantoin in preparing medicines for treating rheumatoid arthritis.
Based on the same inventive concept, the invention provides a medicine for treating rheumatoid arthritis, and the effective components of the medicine comprise nitrofurantoin.
Based on the same inventive concept, the invention provides application of nitrofurantoin in preparing a medicine for inhibiting synovial lining cell proliferation.
Based on the same inventive concept, the invention also provides application of nitrofurantoin in preparing a medicament for inhibiting osteoporosis.
Based on the same inventive concept, the invention also provides application of nitrofurantoin in preparing a medicament for inhibiting bone loss.
One or more technical solutions in the embodiments of the present invention at least have the following technical effects or advantages:
1. the application of the nitrofurantoin in preparing the anti-rheumatoid arthritis medicine, which applies the nitrofurantoin originally used as an antibacterial medicine to the treatment of the rheumatoid arthritis, enriches the variety of the rheumatoid arthritis treatment medicine and is expected to provide a new path for the treatment of the rheumatoid arthritis.
2. The application of the nitrofurantoin in preparing the anti-rheumatoid arthritis medicament can obviously improve the symptom of the rheumatoid arthritis of mice, obviously reduce proliferation of synovial lining cells, obviously inhibit osteoporosis and bone loss caused by the rheumatoid arthritis, obviously reduce expression of inflammatory factors (IL-1 beta, I L-6, IL-17, IL-23) and simultaneously promote expression of anti-inflammatory cytokines (I L-10), so that the nitrofurantoin can be used for treating the rheumatoid arthritis.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings required for the description of the embodiments will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a graph showing the therapeutic effect of nitrofurantoin on rheumatoid arthritis.
FIG. 2 shows the effect of nitrofurantoin on various inflammatory factors.
Detailed Description
The advantages and various effects of the present invention will be more clearly apparent from the following detailed description and examples. It will be understood by those skilled in the art that these specific embodiments and examples are intended to illustrate the invention, not to limit the invention.
Throughout the specification, unless specifically indicated otherwise, the terms used herein should be understood as meaning as commonly used in the art. Accordingly, unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. In case of conflict, the present specification will control.
Unless otherwise specifically indicated, the various raw materials, reagents, instruments, equipment and the like used in the present invention are commercially available or may be prepared by existing methods.
The whole idea of the invention is as follows:
at present, the therapeutic drugs for rheumatoid arthritis are relatively deficient, so that the development of new rheumatoid arthritis target drugs has very important scientific and practical significance.
Nitrofurantoin is an antibacterial drug with broad-spectrum antibacterial activity, can be clinically used for urinary system infection and the like caused by sensitive bacteria, and has clinically confirmed clinical effectiveness and safety. At present, the furantoin has not been reported for the treatment of rheumatoid arthritis.
The inventors found through a large number of experiments that nitrofurantoin can significantly improve the symptoms of rheumatoid arthritis of mice, including: obviously reduces proliferation of synovial lining cells, obviously inhibits osteoporosis and bone loss caused by rheumatoid arthritis, obviously reduces expression of inflammatory factors (IL-1 beta, I L-6, IL-17, IL-23), and promotes expression of anti-inflammatory cytokines (I L-10). Based on this, the present invention proposes to apply nitrofurantoin, which is originally an antibacterial drug, to the treatment of rheumatoid arthritis. Enriches the variety of medicines for treating rheumatoid arthritis and is expected to provide a new path for treating rheumatoid arthritis.
The application of nitrofurantoin in the preparation of anti-rheumatoid arthritis drugs will be described in detail with reference to examples and experimental data.
Example 1
This example describes an animal model trial of nitrofurantoin for the treatment of rheumatoid arthritis comprising the steps of:
(1) Animal information: animals were derived from Hunan Style Lekka laboratory animal Co., ltd, C57 mice, 20, females, 4-6 weeks old, and were bred in the absence of specific pathogens (specific pathogen free, SPF). The raising environment is at 22-26 ℃ and the relative humidity is 50-60%, and the artificial illumination is 12h each. And (5) carrying out adaptive feeding for 7 days.
(2) After the completion of the adaptive feeding, the mice were randomly divided into a blank group (n=5) and a rheumatoid arthritis model group (n=15). Wherein the blank control group: normal feeding is carried out without any operation; rheumatoid arthritis model group (n=15): the common modeling method of rheumatoid arthritis is adopted, namely, the II type collagen is fully and uniformly mixed with Freund's complete adjuvant to prepare 2mg/mL emulsion, and the emulsion is injected into the left foot pad and the right foot pad respectively according to the dosage of 50 uL/dose, and the immunity is enhanced after 1 week.
(3) Packet intervention. After the modeling is completed, the rheumatoid arthritis model group (n=15) is randomly divided into a model group (n=5), a nitrofurantoin group (n=5) and a baryta group (n=5); wherein the model set: and (3) normal feeding is performed without any operation. Nitrofurantoin group: the tail vein is injected with nitrofurantoin, the drug quantity is 2mg/kg, the drug concentration is 0.4mg/mL, the injection quantity is 0.1 mL/dose, once in 2 days, and the continuous intervention is carried out for 40 days. The barbitinib group is injected with the barbitinib by tail vein, the drug quantity is 2mg/kg, the drug concentration is 0.4mg/mL, the injection quantity is 0.1 mL/dose, once in 2 days, and the continuous intervention is carried out for 40 days. At the time of intervention, weighing and arthritis scoring tests were performed daily.
(4) And (5) obtaining materials. After the intervention, the mice were anesthetized with 1% sodium pentobarbital, and blood and hind limb paw were removed. If the animal is found to be dead, 100mg/kg sodium pentobarbital is used for anesthesia until no heart beat and no respiration are carried out, and the animal death is determined.
(5) Micro-CT test: instrument model: skyscan 1276Burker
Fixing and preserving the specimen: firstly, placing the prepared specimen into 4% paraformaldehyde solution for fixing for 24-48 hours; then, taking out the sample, and flushing the sample with phosphate buffer solution for three times; finally, the specimen is put into 75% alcohol solution for preservation for standby, and then sent for Micro-CT scanning.
(6) H & E staining:
I. when cutting tissue, a sharp knife or a shear is used, and when cutting tissue, the cut tissue is pulled back from the root of the knife. And (3) placing the plane to be cut of the fixed left paw tissues of the mice downwards at the bottom of a plastic embedding box, and performing dewatering and waxing embedding according to the conventional steps.
II, slicing: before slicing, the embedded tissue sample is frozen at the temperature of minus 20 ℃, and the tissue can be sliced after reaching proper hardness, wherein the slicing thickness is 3 mu m, and the patch is too thick and is not firm, so that the observation under a lens is not facilitated. Embedding makes the upper and lower parts of the tissue have certain edges, which is beneficial to continuous slicing and can avoid tissue shrinkage during the expansion.
III, spreading and baking: the water bath spreads out the slice, drags out the slice, and the slice is carefully attached to the glass slide, the hand is stable during the patch, and the hand needs to have a downward stretching action. And controlling the slice, putting the slice into a slice spreading device for spreading, paying attention to make the slice bubble-free, flatly sticking and tightly sticking, and timely baking the slice.
H & E staining: 1) Conventionally dewaxing tissue sections to water; 2) Slightly washing with water for 1-2min; 3) Hematoxylin semen staining for 3-6min; 4) Washing off hematoxylin semen with running water for 1-2min; 5) 1-3s of 1% hydrochloric acid alcohol; 6) Slightly washing with water for 1-2s; 7) Returning the blue promoting liquid for 5-10s; 8) Flushing with running water for 15-30s; 9) 0.5% eosin staining for 2-3min;10 Distilled water slightly washed for 1-2s;11 80% ethanol for 15-30s;12 95% ethanol for 15-30s;13 Absolute ethanol 1-2s;14 Xylene (I) 2-3s;15 2-3s for xylene (II); 16 A) neutral gum encapsulation.
V, image acquisition: the image system Leica Application Suite collects the relevant parts of the sample by taking pictures through a microscope.
(7) Serum inflammatory factor test:
a. dilution of standard: preparing 6 small test tubes, sequentially numbering, adding 110uL of standard substance diluent into each small test tube, then adding 110uL of original concentration standard substance into one test tube with the numbered number, and fully and uniformly mixing; then 110uL is taken from the test tube and added into a second test tube, and the mixture is fully and uniformly mixed; then 110uL is taken from the test tube and added into a third test tube, and the mixture is fully and uniformly mixed; then 110uL is taken from the test tube and added into a fourth test tube, and the mixture is fully and uniformly mixed; then 110uL is taken from the test tube and added into a fifth test tube, and the mixture is fully and uniformly mixed; 110uL was then removed from the tube and discarded. A sixth tube was used as standard No. 0.
b. Sample adding: a standard hole, a blank hole and a sample hole are formed in the enzyme-labeled coated plate, and 50uL of standard substances with different concentrations are sequentially added into the standard hole; the sample wells were filled with 40uL of sample followed by 10uL of biotin-labeled antibody.
c. Enzyme addition and incubation: in addition to the blank wells, 50uL of enzyme-labeled reagent was added to each well, and the wells were incubated in a 37℃incubator for 30 minutes after membrane sealing with a sealing plate.
d. Washing: diluting the concentrated washing liquid with distilled water 30 times, carefully removing the sealing plate film, discarding the liquid in the holes, spin-drying, filling each hole with the washing liquid, standing for 30 seconds, discarding, repeating for 5 times, and drying.
e. Color development: adding 50uL of a color developing agent A and 50uL of a color developing agent B into each hole, gently shaking and uniformly mixing, and developing for 10 minutes at 37 ℃ in a dark place.
f. Termination and measurement: adding 50uL of stop solution into each hole to stop the reaction; the absorbance (OD value) of each well was measured sequentially at a wavelength of 450nm in a blank Kong Diaoling, and the measurement was performed within 15 minutes after the addition of the stop solution.
The test results are shown in FIG. 1.
After the experiment is finished, three groups of data are randomly taken for statistical analysis, and the result is as follows: figure 1A shows a schematic of the establishment of a model of rheumatoid arthritis mice and drug intervention, scoring of rheumatoid arthritis in different groups and palm thickness. From the figure, the nitrofurantoin can obviously improve the symptoms of the rheumatoid arthritis, and the curative effect is equivalent to that of the commercial drug barekitinib. FIG. 1B shows the results of the sole Micro-CT image and related bone analysis parameters of mice of the no-use group. As can be seen from the figure, the rheumatoid arthritis group has typical characteristics of bone loss, and the number of trabeculae (Tb, N) and Bone Mineral Density (BMD) are reduced, indicating that the rheumatoid arthritis mice developed more severe osteoporosis and bone loss; the CT images, tb, N and BMD values of the drug intervention group (namely the nitrofurantoin group and the barbitinib group) are obviously improved or increased relative to those of the rheumatoid arthritis group, so that the nitrofurantoin has better curative effect. FIG. 1C shows H & E staining of joint sites in different groups of mice, from which it can be seen that the rheumatoid arthritis group (i.e., RA model group) produced significant synovial lining cell proliferation (Synovial lining cells hyperplasia); the proliferation of the drug intervention group is obviously inhibited. FIG. 2 shows typical concentrations of inflammatory factors or anti-inflammatory cytokines in serum from different groups of mice, showing that the drug group significantly reduced inflammatory factor expression (IL-1β, IL-6, IL-17, IL-23) and promoted anti-inflammatory cytokine expression (IL-10).
The above results all indicate that: nitrofurantoin can well relieve the symptoms of rheumatoid arthritis, inhibit the expression of various inflammatory factors and has good curative effect on the rheumatoid arthritis.
Finally, it is also noted that the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
While preferred embodiments of the present invention have been described, additional variations and modifications in those embodiments may occur to those skilled in the art once they learn of the basic inventive concepts. It is therefore intended that the following claims be interpreted as including the preferred embodiments and all such alterations and modifications as fall within the scope of the invention.
It will be apparent to those skilled in the art that various modifications and variations can be made to the present invention without departing from the spirit or scope of the invention. Thus, it is intended that the present invention also include such modifications and alterations insofar as they come within the scope of the appended claims or the equivalents thereof.

Claims (5)

1. The application of nitrofurantoin in preparing medicine for treating rheumatoid arthritis is provided.
2. A medicament for treating rheumatoid arthritis, wherein the active ingredient of the medicament comprises nitrofurantoin.
3. Use of nitrofurantoin in the manufacture of a medicament for inhibiting synovial lining cell proliferation.
4. The application of nitrofurantoin in preparing medicine for inhibiting osteoporosis is provided.
5. The application of nitrofurantoin in preparing medicine for inhibiting bone loss is provided.
CN202311506331.8A 2023-11-13 2023-11-13 Application of nitrofurantoin in preparation of anti-rheumatoid arthritis drugs Pending CN117643588A (en)

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